The Impact of Game-Based and Digital Interventions on Cognitive, Emotional, and Physical Health Outcomes in Older Adults: A Systematic Review

Keywords: cognitive function, depression, ehealth, game-based interventions, healthy aging, older adults, physical health, quality of life

Abstract

The aging population faces increasing risks of cognitive decline, depression, and reduced physical capacity. Innovative interventions such as game-based systems, experiential learning, and eHealth solutions offer promising strategies to promote healthy aging by enhancing cognitive, emotional, and physical health among older adults. Aim: This study aims to review and analyze the effectiveness of various game-based, experiential, and digital interventions on cognitive function, emotional well-being, and physical health outcomes in elderly populations. Methods: A systematic analysis was conducted on ten studies involving older adults, including randomized controlled trials, pilot studies, cohort studies, and meta-analyses. The studies investigated interventions such as cognitive games, recollection-based occupational therapy, experiential puzzle games, GAMotion, eHealth platforms, and dance-based rehabilitation. Intervention durations ranged from two sessions to twelve months, with diverse sample sizes and settings. Result:The interventions demonstrated significant improvements in cognitive functioning, reductions in depression and anxiety, enhanced physical capacity, improved quality of life, and increased social engagement. Game-based and experiential activities showed high adherence rates, suggesting good feasibility and acceptance among older adults. However, several studies were limited by small sample sizes and non-blinded assessments. Game-based, experiential, and digital interventions effectively promote cognitive, emotional, and physical well-being in older adults. These approaches are feasible, well-received, and offer valuable strategies for supporting active and healthy aging. Future research should focus on large-scale, long-term studies to confirm and extend these findings.

References

Badan Pusat Statistik. (2022). Badan Pusat Statistik 2022.

Bevilacqua, R., Maranesi, E., Benadduci, M., Cortellessa, G., Umbrico, A., Fracasso, F., Melone, G., Margaritini, A., La Forgia, A., Di Bitonto, P., Potenza, A., Fiorini, L., La Viola, C., Cavallo, F., Leone, A., Caroppo, A., Rescio, G., Marzorati, M., Cesta, A., … Rossi, L. (2025). Exploring Dance as a Therapeutic Approach for Parkinson Disease Through the Social Robotics for Active and Healthy Ageing (SI-Robotics): Results From a Technical Feasibility Study. JMIR Aging, 8. https://doi.org/https://doi.org/10.2196/62930

Buckinx, F., Bruyère, O., Lengelé, L., Reginster, J. Y., Marchal, Q., Hurtrez, P., & Mouton, A. (2020). The effects of GAMotion (a giant exercising board game) on physical capacity, motivation and quality of life among nursing home residents: A pilot interventional study. Experimental Gerontology, 138(March), 110983. https://doi.org/10.1016/j.exger.2020.110983

Delgado-rodríguez, M., & Sillero-arenas, M. (2017). Systematic review and meta-analysis. Medicina Intensiva, xx. https://doi.org/10.1016/j.medin.2017.10.003

Gustafson Sr, D. H., Mares, M.-L., Johnston, D., Vjorn, O. J., Curtin, J. J., Landucci, G., Pe-Romashko, K., Gustafson Jr, D. H., & Shah, D. V. (2024). An eHealth Intervention to Improve Quality of Life, Socioemotional, and Health-Related Measures Among Older Adults With Multiple Chronic Conditions: Randomized Controlled Trial. JMIR Aging, 7. https://doi.org/https://doi.org/10.2196/59588

Juita, D. R., & Shofiyyah, N. A. (2022). Peran Keluarga Dalam Merawat Lansia. Jurnal Agama Sosisal Dan Budaya, 5(2), 2599–2473. https://e-journal.ikhac.ac.id/index.php/almada/article/view/2413

Kaunang, V. D., Buanasari, A., & Kallo, V. (2019). Gambaran Tingkat Stres Pada Lansia. Jurnal Keperawatan, 7(2). https://doi.org/10.35790/jkp.v7i2.24475

Kim, D. (2020). The Effects of a Recollection-Based Occupational Therapy Program of Alzheimer ’ s Disease : A Randomized Controlled Trial. 2020.

Kim, Y., Hong, S., & Choi, M. (2022a). Effects of Serious Games on Depression in Older Adults: Systematic Review and Meta-analysis of Randomized Controlled Trials. Journal of Medical Internet Research, 24(9). https://doi.org/10.2196/37753

Kim, Y., Hong, S., & Choi, M. (2022b). Effects of Serious Games on Depression in Older Adults: Systematic Review and Meta-analysis of Randomized Controlled Trials. Journal of Medical Internet Research, 24(9). https://doi.org/https://doi.org/10.2196/37753

Lase, N. P., & Souisa, D. L. R. (2021). Peran Keluarga bagi Orang Usia Lanjut. SUNDERMANN: Jurnal Ilmiah Teologi, Pendidikan, Sains, Humaniora Dan Kebudayaan, 14(2), 87–96. https://doi.org/10.36588/sundermann.v14i2.76

Manafe, L. A., & Berhimpon, I. (2022). Hubungan Tingkat Depresi Lansia Dengan Interaksi Sosial Lansia di BPSLUT Senja Cerah Manado. Jurnal Ilmiah Hospitality 749, 11(1), 749–758.

Nursalam. (2020). Literature Systematic Review pada Pendidikan Kesehatan. In Fakultas Keperawatan Universitas Airlangga (Vol. 4, Issue 3).

Pratiwi, A., Hardiyanti, I. P., & Sari, R. P. (2020). Hubungan Interaksi Sosial dengan Depresi pada Lansia di RW 10 Pondok Sejahtera Kuta Baru Tangerang. Surya: Jurnal Media Komunikasi Ilmu Kesehatan, 12(2), 58–63.

Respati, T., Feriandi, Y., Frederico, R., Nugroho, E., Pardosi, J. F., & Withall, A. (2024). Efficacy of a Mental Health Game-Board Intervention for Adolescents in Remote Areas: Reducing Stigma and Encouraging Peer Engagement. The Open Public Health Journal, 17. https://doi.org/https://doi.org/10.2174/0118749445310785240603045859

Ridiansya, A. S. P. (2019). Hubungan Fungsi Sosial dengan Tingkat Depresi pada Lansia di Posyandu Lansia Kelurahan Karanglo Lor, Kecamatan Sukorejo. Nhk技研.

Riskesdas. (2022). Riset Kesehatan Dasar.2018.

Rosary, M. D., Handinoto, D. I., Perspektif, G. 1, Wredha, P., & Surabaya, D. (2020). Panti Wredha di Surabaya. Jurnal Edimensi Arsitektur, Viii(1), 249–256.

Salazar, J., Gutièrrez, F., Arango, J., & Paderewski, P. (2022). Older adults and types of players in game-based systems: Classification based on their motivations. ACM International Conference Proceeding Series, October. https://doi.org/10.1145/3549865.3549900

Tu, J. C., Yang, C. H., Liang, C. Y., & Chen, H. Y. (2022). Exploring the Impact of Puzzle Games for the Elderly from Experiential Learning. Thinking Skills and Creativity, 45(April 2022), 101107. https://doi.org/10.1016/j.tsc.2022.101107

WHO. (2022). World Health Organization. 2018.

Xue, B. (2021). mild cognitive impairment : A randomized controlled trial. February. https://doi.org/10.1002/mpr.1887

Xue, B., Xiao, A., Luo, X., & Li, R. (2021). The effect of a game training intervention on cognitive functioning and depression symptoms in the elderly with mild cognitive impairment: A randomized controlled trial. International Journal of Methods in Psychiatric Research, 30(4). https://doi.org/10.1002/mpr.1887

Zhang, Y., Kuang, J., Xin, Z., Fang, J., Song, R., Yang, Y., Song, P., Wang, Y., & Wang, J. (2023). Loneliness, social isolation, depression and anxiety among the elderly in Shanghai: Findings from a longitudinal study. Archives of Gerontology and Geriatrics, 110(February), 104980. https://doi.org/10.1016/j.archger.2023.104980.

Published
2025-08-01
How to Cite
Nurmalaningsih, U., Haryanto, J., Fauziningtyas, R., Choiriyah, L., & Basri, B. (2025). The Impact of Game-Based and Digital Interventions on Cognitive, Emotional, and Physical Health Outcomes in Older Adults: A Systematic Review. Indonesian Journal of Global Health Research, 7(4), 69-78. https://doi.org/10.37287/ijghr.v7i4.5519